Biosafety Incident Near Miss Report Form 2026

1. Click ‘Get Form’ to open the Biosafety Incident Near Miss Report Form in the editor.
2. Begin by entering your personal information, including today’s date, CSU ID, first and last name, email, and phone number. Ensure all fields are filled accurately.
3. Provide emergency contact information by filling in the names and phone numbers of your contacts. This is crucial for immediate assistance if needed.
4. Identify your Principal Investigator or Supervisor by entering their name in the designated section.
5. In the Incident Information section, specify the pathogen you were working with and indicate whether it contains recombinant DNA or synthetic nucleic acid molecules by checking 'Yes' or 'No'.
6. Fill in the location of the incident along with the date and time it occurred. Clearly describe the type of incident (e.g., exposure, physical injury) and provide a detailed account of what happened.
7. Check all applicable methods and locations of injury from the provided list to ensure comprehensive reporting.
8. Document any actions taken to control the incident and list any Personal Protective Equipment (PPE) worn at the time of injury. If there was a PPE failure, explain it in detail.
9. Finally, email scanned copies of your completed form to BSO_Incident_Report@mail.colostate.edu for submission.

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